Individual
BRAYCIE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Mailing address
1145 PAPER CREEK DR, LAWRENCEVILLE, GA 30046-5359
(404) 414-4441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69199
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/03/2021
Last updated
11/29/2023
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